DR AEMON R TECHEIRA LLC

$948K

Total Medicaid Paid

43,458

Total Claims

39,549

Beneficiaries

49

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
74177		2,903	2,756	$225K
74176		2,844	2,714	$181K
70450		4,811	4,514	$145K
71045		11,910	10,023	$75K
77067		1,591	1,517	$54K
76815		1,169	1,098	$44K
76705		1,178	1,134	$29K
71046		2,904	2,786	$25K
72125		602	591	$23K
76801		239	224	$14K
76805		236	234	$14K
71275		207	201	$14K
76700		354	349	$12K
76856		292	288	$9K
74018		1,117	1,036	$9K
73562		1,203	1,074	$9K
76642		295	229	$9K
73610		1,049	952	$8K
73030		972	871	$7K
73630		808	746	$6K
73110		762	684	$6K
77063		423	385	$5K
73130		641	589	$5K
72100		461	452	$4K
70486		112	108	$4K
76830		92	92	$3K
76820		59	49	$2K
93971		92	90	$1K
71260		25	24	$1K
73502		161	146	$1K
72148		15	15	$922.10
74019		66	65	$668.19
73090		74	65	$576.41
73564		82	63	$532.38
73080		48	43	$359.49
73590		44	36	$334.71
76770		13	12	$321.45
76536		14	14	$303.69
76775		12	12	$274.61
73560		29	27	$187.64
74022		13	13	$175.52
73140		17	14	$98.19
G9322	No cnt ct nuc med doc 12mo	1,208	1,100	$0.20
G9637	Doc >1 dose reduc tech	22	22	$0.11
G9638	No doc >1 dose reduc tech	977	908	$0.06
G9326	Ct done no rad ds index, nrg	710	641	$0.00
G9319	Image not std nomenclature	291	257	$0.00
G9551	Imag no les	126	116	$0.00
G9329	Norsn no dicom format doc	185	170	$0.00

Medicaid Provider Spending